2023 ATI RN Leadership & Management
Proctored Exam | 5 Versions Bundle | 150
Questions with Correct Answers & Rationales
| Latest Updated Study Guide | Grade A+
Section 1: Management of Care
Question 1
A nurse manager is preparing to implement a new scheduling system. Several nurses
express concern about potential changes. Which action best facilitates adoption of the new
system?
A. Provide a brief overview just before implementation
B. Identify nurses who accept the change to influence others
C. Describe how the system saves money for the institution
D. Offer to reassign staff who oppose the change
Correct Answer: B
Rationale: Engaging nurses who are open to the change as advocates leverages peer
influence to promote acceptance, fostering a collaborative environment. A brief overview
before implementation does not allow sufficient time for adaptation. Focusing solely on cost-
saving may alienate staff, and reassigning staff is punitive .
,Question 2
A nurse is delegating care for a group of clients. Which task should the charge nurse assign
to an LPN?
A. Complete discharge teaching for a client who has a new diagnosis of diabetes
B. Complete Glasgow scale for a client who has an evolving stroke
C. Administer scheduled oral medications to a stable client
D. Develop a comprehensive care plan for a new admission
Correct Answer: C
Rationale: LPNs/LVNs can administer medications to stable clients within their scope of
practice. Assessment requiring nursing judgment (Glasgow scale for evolving stroke), initial
teaching, and care planning are RN responsibilities. The RN retains accountability for
delegated tasks .
Question 3
A client's family requests that the nurse withhold information about a diagnosis from the
client. Which action should the nurse take?
A. Comply with the family's request to maintain harmony
B. Explain to the family that the client has the right to know and involve the provider
C. Ignore the family and disclose the information anyway
D. Document the family's request and do nothing further
,Correct Answer: B
Rationale: The nurse must respect client autonomy and advocate for disclosure. The client
has the legal and ethical right to know their diagnosis. The nurse should explain this to the
family and involve the provider in the discussion to address concerns while upholding the
client's rights .
Question 4
The Five Rights of Delegation include all of the following except:
A. Right task
B. Right person
C. Right salary
D. Right supervision
Correct Answer: C
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstances, Right
Person, Right Direction/Communication, and Right Supervision/Evaluation. "Right salary" is
not part of the delegation process .
Question 5
A nurse is assigned to supervise a student during a clinical rotation. Which action
demonstrates effective preceptorship?
, A. Allow the student to work independently without feedback
B. Provide clear objectives, observe performance, and give constructive feedback
C. Complete the student's documentation for them
D. Assign only routine tasks to avoid errors
Correct Answer: B
Rationale: Effective preceptorship includes teaching, observation, and feedback to facilitate
learning. Clear objectives guide the student's experience, while observation and
constructive feedback promote skill development and clinical judgment .
Question 6
A nurse manager is reviewing the "Nursing Process" as a management tool. Which
management activity corresponds to the "Evaluation" phase?
A. Developing staffing schedules
B. Assessing unit needs and resources
C. Measuring outcomes against established standards
D. Implementing new policies
Correct Answer: C
Rationale: Evaluation involves measuring outcomes against established standards and
making corrections as needed. This is the controlling function of management. Developing
schedules is planning, assessing needs is assessment, and implementing policies is
implementation .
Proctored Exam | 5 Versions Bundle | 150
Questions with Correct Answers & Rationales
| Latest Updated Study Guide | Grade A+
Section 1: Management of Care
Question 1
A nurse manager is preparing to implement a new scheduling system. Several nurses
express concern about potential changes. Which action best facilitates adoption of the new
system?
A. Provide a brief overview just before implementation
B. Identify nurses who accept the change to influence others
C. Describe how the system saves money for the institution
D. Offer to reassign staff who oppose the change
Correct Answer: B
Rationale: Engaging nurses who are open to the change as advocates leverages peer
influence to promote acceptance, fostering a collaborative environment. A brief overview
before implementation does not allow sufficient time for adaptation. Focusing solely on cost-
saving may alienate staff, and reassigning staff is punitive .
,Question 2
A nurse is delegating care for a group of clients. Which task should the charge nurse assign
to an LPN?
A. Complete discharge teaching for a client who has a new diagnosis of diabetes
B. Complete Glasgow scale for a client who has an evolving stroke
C. Administer scheduled oral medications to a stable client
D. Develop a comprehensive care plan for a new admission
Correct Answer: C
Rationale: LPNs/LVNs can administer medications to stable clients within their scope of
practice. Assessment requiring nursing judgment (Glasgow scale for evolving stroke), initial
teaching, and care planning are RN responsibilities. The RN retains accountability for
delegated tasks .
Question 3
A client's family requests that the nurse withhold information about a diagnosis from the
client. Which action should the nurse take?
A. Comply with the family's request to maintain harmony
B. Explain to the family that the client has the right to know and involve the provider
C. Ignore the family and disclose the information anyway
D. Document the family's request and do nothing further
,Correct Answer: B
Rationale: The nurse must respect client autonomy and advocate for disclosure. The client
has the legal and ethical right to know their diagnosis. The nurse should explain this to the
family and involve the provider in the discussion to address concerns while upholding the
client's rights .
Question 4
The Five Rights of Delegation include all of the following except:
A. Right task
B. Right person
C. Right salary
D. Right supervision
Correct Answer: C
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstances, Right
Person, Right Direction/Communication, and Right Supervision/Evaluation. "Right salary" is
not part of the delegation process .
Question 5
A nurse is assigned to supervise a student during a clinical rotation. Which action
demonstrates effective preceptorship?
, A. Allow the student to work independently without feedback
B. Provide clear objectives, observe performance, and give constructive feedback
C. Complete the student's documentation for them
D. Assign only routine tasks to avoid errors
Correct Answer: B
Rationale: Effective preceptorship includes teaching, observation, and feedback to facilitate
learning. Clear objectives guide the student's experience, while observation and
constructive feedback promote skill development and clinical judgment .
Question 6
A nurse manager is reviewing the "Nursing Process" as a management tool. Which
management activity corresponds to the "Evaluation" phase?
A. Developing staffing schedules
B. Assessing unit needs and resources
C. Measuring outcomes against established standards
D. Implementing new policies
Correct Answer: C
Rationale: Evaluation involves measuring outcomes against established standards and
making corrections as needed. This is the controlling function of management. Developing
schedules is planning, assessing needs is assessment, and implementing policies is
implementation .
